Chapter 1219: with translation of title

This is a patient who underwent liver cancer radiofrequency ablation today.

Advanced liver cancer, multiple intrahepatic metastases. Ten years ago, this diagnosis could declare the patient had no treatment value, and they would die after a three- to six-month survival period.

However, with the clinical development of interventional surgery, such diseases could not only be delayed for a period of time, but the cure rate also rose from 0 to about 25%.

Furthermore, 912 conducted research on slice CT three-dimensional reconstruction by operators, further increasing the liver cancer cure rate.

Embolization plus radiofrequency ablation is indeed an effective means of treating liver cancer; even if Zhao Wenhua slanders Zheng Ren, he cannot deny that the operator's own performance of slice CT three-dimensional reconstruction indeed has great benefits.

The patient before us underwent Liver Cancer Resection a year ago and relapsed postoperatively. Because the left hemiliver was resected and the postoperative recurrent lesion is a contraindication for surgical treatment, only interventional therapy is an option.

Zhao Wenhua admitted the patient to the hospital from the outpatient clinic, performed Interventional embolization, and then this morning performed Radiofrequency ablation.

The lesion is near the diaphragm, and Zhao Wenhua chose the transthoracic Radiofrequency ablation approach.

This is merely a routine operative method; both Zhao Wenhua and Director Kong have performed it over a thousand times.

The effect is also good; as long as the cauterized needle tract is noted, implantation metastasis complications will not occur.

Clinical data show that implantation metastasis truly occurs very rarely.

However, the patient before us has instead developed another complication—bleeding.

Zhao Wenhua felt frantic inside, really damn it, he had carefully cauterized the blood vessels and needle tract while withdrawing the needle, yet still ended up with a bleeding problem.

Really damn it.

The only hope now is that the bleeding stops on its own.

Three sets of hemostatic drugs were used, even micro-infusion of posterior pituitary factor via a micro pump, yet the bleeding still could not be stopped.

Thoracic surgery consultation, Fang Lin came down with the chest bottle.

In just a moment, the chest bottle nearly filled up, so Fang Lin had to use the Hemostatic Forceps to clamp the chest tube. He judged that the patient likely needed thoracotomy. However, after explaining to Zhao Wenhua that this was the thoracic department's assessment, Zhao Wenhua refused the suggestion of thoracotomy.

Actually, Zhao Wenhua's thinking is also simple—how thick can a Radiofrequency needle be? It's only as thick as a regular needle, so the damage to blood vessels is not significant. Moreover, the puncture site has no major blood vessels, and when withdrawing the needle, he still carefully cauterized.

I did everything I could; even if there is bleeding, it should have stopped by now. If we were to perform a thoracotomy at this point, it would at least be a medical accident.

If the bleeding could stop on its own, wouldn't it be better for everyone to be happy in the end?

Now medical disputes are so severe that even normal complications are counted as medical accidents; it's truly distressing, Zhao Wenhua worries, pulling out his hair strand by strand.

Fang Lin felt helpless, sighed, and left. He was only a consulting doctor, handling matters related to himself. As for whether the patient should be transferred to general thoracic surgery treatment, that decision rests with Zhao Wenhua.

This is medical protocol; Fang Lin certainly cannot just drag the patient onto the Operating table and proceed.

Zhao Wenhua looked at the images, feeling sorrowful inside. He carefully recalled the Shou Bing procedure, finding nothing that could be improved; he himself was nervous, having exerted his skill to the limit.

As long as it is a Shou Bing, there will be complications; no matter how high the skill, they cannot be avoided.

Zhao Wenhua tries to avoid it, waiting for Zheng Renxian to make a mistake. That guy is like walking a tightrope—no matter how difficult the Shou Bing, he insists on trying it; not making a mistake would be strange.

But despite his expectations, the opposite happened—Zheng Ren made no mistake, yet he himself made the mistake first.

The patient's postoperative bleeding is not due to my mistake; it's just bad luck, a complication arose. (Note 1)

If Zheng Ren did not exist, Zhao Wenhua would have accepted defeat with this patient. Sending him to thoracic surgery for Thoracoscope-guided hemostasis—a minor procedure—would quickly resolve the problem. But after Fang Lin proposed the suggestion, Zhao Wenhua felt it was a conspiracy.

Everyone in the hospital knows what relationship Fang Lin has with Zheng Ren.

Zhao Wenhua knows about that incident, that rescue. This damn thing is Zheng Ren—a dog, glaring at him maliciously, waiting for him to make a mistake; Zhao Wenhua thought to himself and without hesitation rejected Fang Lin's suggestion.

But after Fang Lin left, Zhao Wenhua began to hesitate and feel anxious again.

If the bleeding cannot be stopped, what should be done? He almost checks the patient's blood pressure every few minutes, fearing it will drop uncontrollably. Once that happens, he would have to go onto the operating table no matter what.

Hope it doesn't come to that.

Each fluctuation of one or two values in arterial blood pressure monitoring makes Zhao Wenhua's heart pound continuously. When it rises, he sees hope; when it falls, he feels as if plunging into hell.

It is already 3:30 a. m., and he is still anxiously observing and judging.

He never reopened that Hemostatic Forceps, and gradually he formed an idea: the bleeding occurs because the patient's thoracic cavity is under negative pressure, making the hemorrhage from the ruptured blood vessel impossible to stop.

To change the negative pressure condition, there is only one method—let blood fill the thoracic cavity.

After that, the blood vessels occlude, bleeding stops, and gradually resolving the collapsed lung issue also seems like a method.

After hesitating for a long time, Zhao Wenhua decided to adopt this method.

Even so, he still carefully cared for the patient. Later, he simply stopped wandering about and personally provided bedside care. At this point, he trusted no one else; only when he himself was at the patient's bedside did his anxious heart feel somewhat relieved.

The condition neither improved nor worsened; it simply remained unchanged. With continuous transfusion, the blood pressure stayed at 80/40 mmHg, which counts as hemorrhagic shock but is not severe.

Moreover, the patient's baseline blood pressure before surgery was already low, so this blood pressure is acceptable.

But such a night is so hard to endure.

Almost every doctor has experienced such a night, more or less.

If Zheng Ren did not exist, Director Wei would probably still be performing an extremely complex surgery on the Operating table… no, if Zheng Ren did not exist, the patient would have died upon going onto the Operating table, and there would be no need to endure this ordeal.

Zhao Wenhua looked at the images once more, returned to the patient's bedside, sat on a stool, and stared blankly at the monitor.

The patient's family felt grateful; they had been informed preoperatively about possible complications, but they did not expect to actually encounter one.

This is due to bad luck; the patient's family is reasonable and understanding, and they accept it.

Professor Zhao has been providing bedside care since the condition appeared; the patient's family also expressed gratitude. Only Zhao Wenhua himself knows clearly what the best course of action is.

But he is unable to make that choice.

Although it is just an ordinary complication that no one can avoid, Zhao Wenhua still wants to avoid a second encounter, lest he give Zheng Ren ammunition to attack him.

Zheng Ren is fine, but whenever he thinks of that Su Yun beside him—like a male idol—Zhao Wenhua cannot help feeling annoyed from the bottom of his heart.

That person has the worst intentions!

……

……

Note 1: Desperately trying to add Luck Value to Zheng Lao Ban, all to avoid mistakes. Being a doctor, luck is truly extremely important.